| NPI | 1932514114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0004775) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001136) |
| 103K00000X Behavior Analyst (Licence: NY 1-12-12365) | |
| 103T00000X Psychologist (Licence: NY 020115) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-09-12 |